NPI 1194138016
Donna Wagoner
Practice location
- Address
- 935 Hwy V V, Kennett, MO 63857
- Phone
- (573) 888-0642
- Fax
- (573) 888-8833
- Mailing address
- 935 Highway V V, Kennett, MO 63857
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1194138016
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jun 2014
- Record last updated
- 9 Jun 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.